Eric Noll, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

116944 Issued in AK

Practice address

2630 Central Ave # 3349
Eielson AFB, AK 99702

Phone

(907) 377-1847

NPI assigned

Mar 4, 2013

Last updated

Jul 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eric Noll OD PCGroup PAC ID 4284049354, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric Noll OD PC

  dba Alaska Vision Center

  • Optometrist
  • Kodiak, AK
  • NPI 1487245676
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine E Johnson, MD PC

  dba Mountain View Eye Center

  • Ophthalmology Physician
  • Fairbanks, AK
  • NPI 1508042417
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1174864904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DARK HOLLOW RD",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170209744",
            "telephone_number": "717-307-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 CENTRAL AVE # 3349",
            "city": "EIELSON AFB",
            "state": "AK",
            "postal_code": "99702",
            "telephone_number": "907-377-1847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Dark Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Duncannon",
            "state": "PA",
            "postal_code": "170209744",
            "country_code": "US",
            "telephone_number": "717-307-5761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 Phillips Field Rd",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997093933",
            "country_code": "US",
            "telephone_number": "907-328-2920",
            "fax_number": "907-456-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLL",
        "first_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "116944",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landru Derek Medvec, IDMT
• Jacob A Mock, PHARMD, BCGP
• Nicholas R Moorehead, PHD
• Sandra Muniz, LPN
• Amanda Nichols
• John Joseph Olshefski, M.D.
• Robert Greg Patterson, M.D.
• Natalie Elaine Peter, LISW
• Camvy Victoria Phan, DO
• Mark Pulver, SOCIAL WORKER (LCSW)

• Optometrist in Eielson AFB, AK
• Providers in Eielson AFB, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.